Nurse 250 Final - Quizzes/Kahoot/Math
A nurse knows the ethical term "Do not cause harm" is an example of:
nonmaleficence
During an annual performance review with an employee, the nurse manager does not maintain eye contact and seems concerned about the time and the next appointment. What type of communication is the manager exhibiting?
nonverbal
Nursing research is linked most closely to:
nursing process
What represents the basic framework of the research process?
nursing process
Nurses in an ICU noticed that their clients required fewer interventions for pain when the ICU was quiet. They then asked a researcher to design a study about the effects of noise on the pain levels of hospitalized clients. How does this demonstrate the ultimate goal of expanding the nursing body of knowledge?
nursing research helps improve ways to promote and maintain health
What definition of culture is most accurate?
a belief system that guides behavior
In what situation would the SBAR technique of communication be most appropriate?
a nurse is calling a physician to report a client's new onset of chest pain
The nurse and the physical therapist discuss the therapy schedule and goals for a client on a rehabilitation unit. What type of communication is occurring between the nurse and the therapist?
interpersonal
When making client rounds, the charge nurse observes what action by a staff nurse that would constitute battery?
the elderly client refuses the intramuscular injection, but the staff nurse administered it
What action by the nurse would facilitate the nurse-client relationship during the orientation phase?
introducing oneself to the client by name
A nurse overhears another nurse make a statement that indicates racism. The nurse makes this determination based on what characteristic indicative of social value?
skin color
A child, age 4 years, has leukemia but is now in remission. What does it mean to be in remission when one has a chronic illness?
the disease is present, but symptoms are not experienced
The child of a client who just died in a hospice unit arrives and asks, "May I please stay and sit at the bedside? I really wanted to be here so my dad would not die alone." What statement made by the nurse best demonstrates the use of empathy?
"I will close the door so you can spend some quiet time at the bedside."
The nurse is caring for a client who is postoperative 24 hours from an appendectomy. The client is hesitant to get out of bed. How should the nurse respond?
"Can you describe what you are feeling when you try to move?"
A client expresses worry about upcoming surgery. Which response by the nurse is a cliché?
"Don't worry, everything will be fine."
The nurse identifies a need for further teaching when a client makes what statement?
"Health means the same to every person."
While a client admitted to the medical-surgical unit is in the radiology department, a visitor claiming to be the client's cousin arrives on the medical-surgical unit and asks the nurse to provide a brief outline of the client's illness. What response by the nurse would be most appropriate, both legally and professionally?
"I cannot give you that information due to client confidentiality."
A nurse caring for a client who was recently diagnosed with metastatic lung cancer finds the client crying in the room. What statement made by the nurse best demonstrates the use of empathy?
"I see you are upset. Would you like to talk?"
The nurse is using teach-back to evaluate the client's understanding of new information given during discharge. What statement indicates the use of this technique?
"Please repeat to me the different signs and symptoms of stroke."
A 56-year-old client meets with the nurse for education about a recently diagnosed atrial fibrillation. The client verbalizes concerns about being away from work too long and doubts about the necessity of having blood tests every week, as the client has no symptoms. What is the best motivational statement by the nurse for this client?
"The medicine and blood work can help prevent blood clots, which can lead to strokes. What do you know about warfarin therapy?"
When the preoperative client tells the nurse that the client cannot sleep because the client keeps thinking about the surgery, an appropriate reflection of the statement by the nurse is:
"The thought of having surgery is keeping you awake."
The nurse must use appropriate interviewing techniques to elicit accurate and complete health information. What statement is an example of an open-ended question or comment?
"What brought you to the hospital this morning?"
A 70-year-old client had a cholecystectomy 4 days ago. The client's daughter tells the nurse, "My mother seems confused today." What question would be best for the nurse to ask to assess the client's orientation?
"What day of the week is it?"
A client from a minority culture has been hospitalized for 6 days for postoperative infection. The client's weight is decreasing each day, and the nutritional intake is declining. Which nutritional assessment question is most appropriate?
"What type of food do you eat at home?"
The nurse is teaching an 80-year-old client how to instill eye drops for glaucoma. The client's daughter asks, "How do you know that my mother understands what to do?" What is the appropriate nursing response?
"When 15 minutes have passed, I will ask your mother to show me how to instill the drops."
The client is being discharged, and the nurse observes the client crying. What is the nurse's most appropriate response?
"Would you like to talk about anything before you go home?"
A nurse is completing a health history with a client being admitted for a mastectomy. During the interview, the client states, "I don't know what to do. I am not sure if I really need this surgery." What response by the nurse demonstrates active listening?
"You seem unsure. Tell me your concerns about your surgery."
The nurse is collecting health data and avoids using closed-ended questions. What are examples of closed-ended questions?
- "Does it hurt when I touch you here?" - "Is there any chance you might be pregnant?" - "Do you smoke cigarettes?" - "Are you ready to get out of bed?"
Each of the following facilitates a therapeutic nurse-client relationship except:
- *closed-ended questions* - reflection - active listening - rephrasing
What explains why the demand for nurses is increasing?
- Advances in the health care field require more nurses - There is an increase in the acuity of hospitalized patients - There is an increase in life expectancy as well as chronic illnesses *(ALL OF THE ABOVE)*
What is true regarding the HITECH Act?
- It addresses the development, adoption, and implementation of health information technology policies - It provides funding for eligible health care professionals and hospitals for development and maintenance of EHR's if they demonstrate meaningful use - It is a component of the American Recovery and Reinvestment Act *(ALL OF THE ABOVE)*
Functions of the electronic health record include which of the following?
- Provides a single location for long term data repository - Provides communication among heath care team members - Provides a single access point for health care providers managing care of a patient (ALL OF THE ABOVE)
Ordered: Digoxin elixir 500 mcg x 1 dose ON HAND: Digoxin 0.125 mg/ml. ____________ml? ____________tsp?
0.5 mg ---------- x 1 ml = 4 ml 0.125 mg 4 ml ------- x 1 tsp = 0.8 tsp 5 ml
Ordered: Amoxil 100 mg. po. qid. ON HAND: Amoxil 150 mg/5ml How many ml will you give?
100 mg --------- x 5 ml = 3.33 ml 150 mg
Ordered: Epogen 2400 U sc daily ON HAND: Epogen 3000 U/ml _________________ ml?
2,400 U -------- x 1 ml = 0.8 U or cc 3,000 U
75 ml D5W to infuse over 30 minutes with a drip factor of 20 gtt/ml. ___________gtt/min?
75 ml ----- x 20 = 50 gtt/min 30 min
A client reads the nutritional chart and follows it accurately. The nurse also notes that the client understands the need for a balanced diet and its relationship with a quick recovery. In what domain is the client demonstrating successful learning?
cognitive
Structured languages, also called taxonomies, are critical tools for nursing. What is NOT an example of a currently recognized nursing taxonomy?
International Statistical Classification of Diseases and Related Health Problems (ICD 10)
Injuries related to lifting or transferring clients occur in the health care setting and may be considered a work-related injury. What law was intended to reduce work-related injuries and illnesses?
The Occupational Safety and Health Act of 1970
Developing standardized terminologies in nursing informatics is driven by the following demands:
accessibility, ubiquity, longevity, and reusability
What process evaluates and recognizes educational programs as having met certain standards?
accreditation
The greatest shortage of nursing is seen in what specialty area?
acute care
A nurse is preparing to conduct a research study and uses the PICO format to develop the foreground question which is: "In adults, does reducing salt intake, compared to no change in salt intake, lower blood pressure?" The nurse identifies the "P" as:
adults
The new nurse is evaluating the effectiveness of the assigned nurse mentor. What characteristic should the new nurse recognize as being inappropriate for the nurse mentor to role model?
advising the new nurse to consult the nurse mentor before making decisions regarding client care
Which word is best described as protection and support of another's rights?
advocacy
What action constitutes battery?
an older adult client refuses an intramuscular injection, but the nurse administers it
The nurse is caring for a 70-year-old client with a fractured wrist. What is the best method to determine whether the client has retained the information taught?
ask the client to recall after approximately 15 minutes
When caring for a client, the nurse observes that the client enjoys reading books and magazines. In what learning domain does the client's learning style fall?
cognitive
The nurse has educated the client on the pathophysiology of osteoarthritis and degenerative joint disease. This type of teaching best illustrates what learning theory?
cognitive learning theory
A client states, "I understand when the nurse explains the possible complications of my illness. I am appreciative of what insulin does to my body, and I can now give myself insulin." What domains of learning does the nurse identify for this client as having been successfully addressed by education?
cognitive, affective, and psychomotor
A nurse threatens to restrain a verbally abusive client if the abuse continues. What legal tort has the nurse committed?
assault
The nurse is delegating care to an unlicensed assistive personnel (UAP). Which intervention would be most important for the nurse to perform independently?
assess the client with difficulty breathing
A client is operated on for gallstones. On the postoperative night, the nurse finds that the client is not sleeping and is tossing and turning. When asked about analgesics, the client denies having pain. What nursing action is most appropriate?
assessing for nonverbal expressions of pain
What nursing care task is acceptable for a registered nurse to delegate to an unlicensed assistive personnel (UAP)?
assisting a client with ambulation
A client aged 83 years who has suffered a cerebrovascular accident and is unable to swallow refuses the insertion of a feeding tube. The nurse communicates the client's wish to the family and health care team. This is an example of what ethical principle?
autonomy
What ethical principle is related to the idea of self-determination?
autonomy
The parents of an infant with apnea need to be educated on the apnea monitor and cardiopulmonary resuscitation. What should the nurse assess first regarding the parents?
baseline knowledge of these concepts
The registered nurse on a busy telemetry floor is delegating tasks to an unlicensed assistive person (UAP). What task is appropriate for the UAP to complete?
bathing a combative client
An RN enters a client's room and observes the unlicensed assistive personnel (UAP) forcefully pushing a client down on the bed. The client starts crying and informs the UAP of the need to go to the bathroom. What action is the RN witnessing that should be immediately reported to the supervisor?
battery
In general, how do most people view change?
by how they are affected personally
What statement is most applicable to evidence-based practice?
clinical expertise is integrated with external evidence
True or False: the discussion regarding a nation-wide health information infrastructure for electronic health records began with the enactment of the 2010 Affordable Care Act.
false
A nurse manager is trying to resolve a conflict between the day and night shifts. The nurse manager wants to convince the involved persons to set aside their differences, determine a priority common goal having to do with improved client care, and accept mutual responsibility for achieving this goal. The nurse manager is using what type of conflict resolution?
collaborating
A nurse assesses a client with psychotic symptoms and determines that the client needs vest restraints. However, the client asks the nurse not to put on vest restraints. What would be the best nursing action?
contact the physician and obtain necessary orders
An obstetrical nurse wishes to identify whether clients' perceptions of a high level of support from their partner is associated with a decreased length of the second stage of labor. What type of quantitative research is most appropriate for this research question?
correlational research
A nurse is providing care for a client who recently immigrated from another country. The nurse says, "You have to get up and walk whether you want to or not." This statement is an example of:
cultural imposition
What term describes the tendency to impose one's cultural beliefs, values, and patterns of behavior on a person from a different culture?
cultural imposition
A family recently immigrated to a new country. The parent reports that the teenager is showing signs of fear, has vague reports of stomach pain, and feels humiliated by peers because of their culture. What is the priority assessment for the nurse?
culture shock
What nursing situation is an example of an ethical dilemma?
deciding whether to perform cardiac compressions against a client's wishes
What is the formula used for ordered medication conversion problems?
desired dose ---------------- x available quantity dose available
What is the theory that describes the maturation of humans through stages?
developmental theory
The nurse is having an exceptionally busy shift on an obstetrical unit. What task is the nurse justified in delegating to an unlicensed care provider?
emptying a client's foley catheter bag and reporting the volume to the nurse
When looking at a model for evidence-based practice, what is the final step of the process?
evaluating practice change
A nurse is discharging a client and thus terminating the nurse-client relationship. What action should the nurse perform in this phase?
examine goals of the relationship to determine whether they were achieved
A nurse researcher is examining the cause-and-effect relationship between the consumption of tap water containing minimal amounts of bleach, and the incidence of cancer in rats. The research is taking place in a laboratory setting. What type of quantitative research is being used based upon this description?
experimental research
A nurse is caring for a client who is visually impaired. What action is a recommended guideline for communication with this client?
explain the reason for touching the client before doing so
True or False: high levels of turnover are effective tools in maintaining organizational functioning and quality patient care.
false
True or False: new younger nurses are ideal prospects to act as expert mentors in specialty areas of a hospital.
false
The client is an 18-month-old in the pediatric intensive care unit. The client is scheduled to have a subgaleal shunt placed tomorrow, and the client's mother is quite nervous about the procedure. The nurse tells the client's mother, "The surgeon has done this a million times. Your son will be fine." This is an example of what type of non-therapeutic communication?
false reassurance
A client rings the call bell to request pain medication. Upon performing the pain assessment, the nurse informs the client that she will return with the pain medication. The nurse's promise to return with the pain medication is an example of which principle of bioethics?
fidelity
What quality is essential for being a nurse leader?
flexibility
A nurse who obtains a license to practice nursing through self-misrepresentation is guilty of what tort?
fraud
One of the primary reasons for conducting nursing research is to:
generate knowledge to guide practice
Persistent gaps between the health status of minorities and non minorities are defined as:
health disparities
What is the most accurate definition of health?
health is a state of complete physical, mental, and social well-being
When chronic illnesses and disabilities are present, individuals benefit most from activities that:
help them maintain independence
A nurse caring for an unconscious client knows that communication is important even if the client does not respond. What nonverbal action by the nurse would communicate caring?
holding the client's hand while talking
A nurse uses the process of quantitative research to study the incidence and causes of hospital-acquired pneumonia in the nurse's hospital. The statement of what the researcher expects to find in these studies is called the:
hypothesis
Nurse researchers have predicted that a newly created mentorship program will result in decreased absenteeism, increased retention, and decreased attrition among a hospital's nursing staff. What does this predicted relationship represent?
hypothesis
What strategy might a nurse use to increase compliance with education?
include the client and family as partners
A nurse researcher is involved in an experimental research study. What component would the nurse researcher manipulate?
independent variable
The nurse researcher is aware that the type of variable that can be manipulated in a study is what type of variable?
independent variable
A nurse asks a coworker about the condition of the nurse's next-door neighbor, who has been admitted to the unit. If the coworker shares the neighbor's client information with the nurse, the coworker could be held liable for committing what act?
invasion of privacy
A nurse talks with family members about an AIDS client from the clinic where the nurse works. What tort has the nurse committed?
invasion of privacy
When the nurse informs a client's employer of the client's autoimmune deficiency disease, the nurse is committing the tort of:
invasion of privacy
What is a characteristic of mentorship?
it is a link to a protégé with common interests
Personal space and distance is a cultural perspective that can impact nurse-client interactions. What is the best way for the nurse to interact physically with a client who has a different cultural perspective on space and distance?
know the client's cultural personal space preferences
What modes of value transmission is most likely to lead to confusion and conflict?
laissez-faire
What is not an ideal strategy to use to retain older nurses in the workforce?
limit shift options to shorter shifts
While caring for an infant, the nurse hears another child screaming in the next room and rushes there, forgetting to put the side rails up on the infant's crib. The nurse returns to the room to find that the infant has fallen out of the crib and sustained a head injury. Based on the nurse's action, what tort is the nurse liable for?
malpractice
A nurse gives a speech on nutrition to a group of pregnant women. Within the model of the communication process, what is the speech itself known as?
message
A charge nurse is always careful to listen carefully to clients and to be respectful of their privacy and care needs. The nurse says, "I want the staff on this unit to see me interacting with clients in the manner I would like for them to interact with clients." The nurse is using what technique to guide value development of the staff?
modeling
A mother always thanks clerks at the grocery store. Her daughter, age 6 years, echoes her thank you. The child is demonstrating what mode of value transmission?
modeling
A nurse does not assist with ambulation a postoperative client on the first day after surgery. The client falls and fractures a hip. What charge might be brought against the nurse?
negligence
A nursing student administers medication to a resident while working as an unlicensed assistive personnel (UAP) at a local nursing home. What would this student most likely be held liable for?
negligence
What type of research study would a hospital conduct to explore clients' and families' perceptions of receiving care?
qualitative
A nurse researcher is collecting nominal data. What type of research is being conducted?
quantitative research
A nurse has taken a telephone order from a physician for an emergency medication. The dose of the medication is abnormally high. What should the nurse do next?
question the order for the medication
What statement best conveys the relationship between race and ethnicity?
race denotes physical characteristics, while ethnicity is rooted in a common heritage
A client refuses to allow any healthcare worker of Asian descent to provide care. This client is demonstrating what practice?
racism
A nurse has a duty of nonmaleficence. What action would be considered a contradiction to that duty?
refusing to administer pain medication as prescribed
After reviewing several research articles, the clinical nurse specialist on a medical surgical unit rewrites the procedure on assessing placement of a nasogastric tube. What source of nursing knowledge did the nurse use in this situation?
scientific knowledge
What factors have been identified as contributing to the cause of the current nursing shortage?
selection of fields other than nursing as a career
A client who is scheduled for hernioplasty needs clarification regarding the procedure. The nurse calls the physician at the client's insistence. The physician, who is in a bad mood, is overheard telling the client that the nurse does not know anything. What legal tort has the physician committed?
slander
A client on a surgical unit asks for the nurse's opinion of the surgeon. The nurse replies, "He is rude. His clients always end up with infections." The nurse is at risk of being accused of what?
slander/defamation
Facebook is an example of
social network
In comparison with licensure, which measures entry-level competence, what does certification validate?
specialty knowledge and clinical judgment
A preconceived and untested belief about an individual or group of individuals is:
stereotyping
What type of skills are not needed for nursing leadership?
technical skills
A nurse witnesses a traffic accident and dresses the open wounds sustained by a child. Later, in the hospital, the child develops complications from an infection in the wound. The family holds the nurse responsible for the complications and attempts to file a lawsuit. What statement is true regarding how the Good Samaritan law applies to this case?
the Good Samaritan law will provide legal immunity to the nurse
The registered nurse (RN) has received orders to perform an unsafe practice on a client. The RN voices concern with the physician who gave the order, but the physician refuses to change the order. Whom should the nurse consult next regarding the order?
the charge nurse
The nurse is advising a client about health problems related to being overweight. The client acknowledges the need to lose weight. The nurse provides education on how to count calories in food and the importance of daily exercise. The client states an intention to begin counting calories with the next meal. The client also states an intention to begin an exercise program with friends. What statement associated with this scenario illustrates Lewin's stage of unfreezing?
the client acknowledges the need to lose weight
What is the primary focus of communication during the nurse-client relationship?
the client and the client's needs
The nurse meets with the client to teach self-administration of low molecular weight heparin. During the initial part of the training the client shakes the head and asks the nurse to repeat the instructions. What action demonstrates that the nurse has assessed the client's communication abilities?
the nurse faces the client, speaks slowly and clearly, and demonstrates the procedure using a needleless syringe
While walking through a park, the nurse encounters a child with a swollen and reddened arm that hurts to move due to being struck with a baseball bat. The nurse splints the arm using two baseball bats. The child is transported to the hospital and later develops compartmental syndrome in the arm. What statement regarding the nurse's liability in this case is accurate?
the nurse is protected by the Good Samaritan Act, which states that the nurse may give emergency care using good judgment
The registered nurse (RN) wants to delegate a task to an unlicensed assistive personnel (UAP) but is unsure if the task can be delegated. What is the best resource for the RN to use in determining if the task is appropriate?
the nurse practice act or facility's policy and procedures
A client is unhappy with the health care provided and informs the nurse that the client is leaving the facility. The client has not been discharged by the physician. The nurse finds that the client has dressed and is ready to go. What should the nurse's action be in this situation?
the nurse should call and inform the nursing supervisor of the situation
What statement best explains the importance of theoretic frameworks?
theoretic frameworks advance nursing knowledge and practice
The nurse administers amoxicillin to a client with known allergies to penicillin. The client has a seizure with resulting respiratory arrest. What does this act by the nurse best exemplify?
this best exemplifies malpractice
What is the goal of the nurse in a helping relationship with a client?
to assist the client to identify and achieve goals
What statement regarding a nurse manager role is accurate?
to effectively manage the nursing unit, the nurse manager should also be a leader
Nurses complete incident reports as dictated by the agency protocol. What is the primary reason nurses fill out an incident report?
to improve quality of care
What is the formula used for drip rate, when given the time?
total volume -------------- x drip factor = rate time in minutes
A nurse is discussing dietary issues with a Latino client in the clinic. The client states, "My grandmother always told me that I needed to include beans in my diet so that my muscles would grow." The information that the client is expressing is known as what?
traditional knowledge
A leader who is dynamic, inspiring, and promotes change by the power of the leader's convictions... exemplifies what type of nurse leadership most clearly?
transformational leadership
True or False: a free agent nurse makes a higher hourly wage than other full time or part time nurses in the health care organization.
true
True or False: nursing informatics integrates nursing science and information science.
true
True or False: patient outcomes are sensitive to nursing interventions and as a result, nursing staffing affects patient outcomes.
true
True or False: rural areas of the country have a greater shortage of nurses than urban areas of the country.
true
True or False: wisdom is the application of knowledge to an appropriate situation
true
What is the term for the beliefs held by the individual about what matters?
values
What term is most closely associated with quantitative research?
variable